Organization Active NPI

Kyu J Hwang MD PC

  • Gynecology Physician
  • Port Huron, MI
National Provider Identifier
1497918874
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
4301031262 Issued in MI
Legal business name
KYU J HWANG MD PC
Practice address
2425 Military St
Suite 5
Port Huron, MI 48060-6692
Phone
(810) 984-1535
Fax
(810) 984-8320
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kyu J Hwang, MD
Title
Owner
Phone
(810) 984-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 4301031262 MI Primary

Addresses

Primary practice location

2425 Military St
Suite 5
Port Huron, MI 48060-6692

Mailing address

2425 Military St
Suite 5
Port Huron, MI 48060-6692
Phone (810) 984-1535

Other identifiers 1

IdentifierTypeStateIssuer
101063088MedicaidMI

National Provider Directory

National Provider Directory

Locations

2425 Military St
Ste 5
Port Huron, MI 48060
Phone (810) 984-1535

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1497918874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 MILITARY ST",
            "address_2": "SUITE 5",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606692",
            "telephone_number": "810-984-1535",
            "fax_number": "810-984-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 MILITARY ST",
            "address_2": "SUITE 5",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606692",
            "telephone_number": "810-984-1535",
            "fax_number": "810-984-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYU J HWANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "KYU",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-984-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301031262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101063088",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.